Canadian FHIR Baseline Profiles Workstream Meeting - April 12th, 2-3pm EST

Open Action Items Summary

• ACTION ITEM: Next steps in terms of work effort would be for the workstream to bring over the remaining US Core Profiles
• ACTION ITEM: Decide on which tooling we will use for the work & communication portion of building the Canadian Core - IG Publisher vs Simplifier.net
• ACTION ITEM: Michael to provide a list of remaining US Core Profiles that have yet to be brought over, and provide these to the workstream so the Community has opportunity to get involved on this profiling work
• ACTION ITEM: Michael to continue to document the feedback provided in the Google Deck for Canadian Core Vision / Scope / Principles

Attendees

Michael Savage
Russ Buchanan
Andrea MacLean
Lloyd McKenzie
Ben Macerola
Ken Sinn
Shamhad Abdi
Sheridan Cook
Sisira de Silva
Alex Goel
Amy Li
Christopher Kundra
Fariba Behzadi
Igor Sirkovich
Joel Francis
Radhika Verma
Shamil Nizamov
Smita Kachroo

Review

• Michael provided a review of progress to date

Discussion

• Russ shared his work on leveraging the US Core FHIR Profiles as a model for a draft Canadian Core set
• Leveraged the US Core as a base
• Identified areas where the US Core didn’t support the Canadian context
o Aim is to stay as close as possible to the US Core when building the Canadian Core
• Observation through doing this work is that the US Core do not impose a lot of content changes to the base standard (in other words, not a ton to add / remove)
o This shows that the majority of the US Core work DOES / CAN apply, with a few differences (i.e., for Patient, a few Canadian-specific requirements)
• ACTION ITEM: Next steps in terms of work effort would be for the workstream to bring over the remaining US Core Profiles
• Question of ease of bringing the Core Profiles over - US Core Profiles were built based on use cases, do these apply in Canada and meet our needs? Work toward solving our problems?
o Response was that US Core came from expectation for EHRs in the US to share certain subsets of health information with other EHRs and patients; these same basic use cases exist in Canada
o US Core sets the expectation that x amount of data elements will be provided / expected in that relevant data exchange
o Certain code sets would be different from US to Canada, that’s the main difference
o SMART on FHIR, CDS Hooks are use cases that are built on top of this ‘common denominator’ sub-sets of data
• ACTION ITEM: Decide on which tooling we will use for the work & communication portion of building the Canadian Core - IG Publisher vs Simplifier.net
• Question of what problem are we trying to solve with these Canadian Core Profiles?
o Is there value in looking elsewhere than the US Core? Or is that approach clearly the highest value proposition?
o Response was that the current US Core-focused approach provides us with the ability to leverage the existing US APIs to allow more support from US Vendors
o The best approach is to accept the success of the US and assess what specific factors would be different for Canada
• Point of consideration is that the US context is more EHR-driven, whereas Canada’s contexts are more jurisdictionally-driven

Next Steps

• Through Russ’ work and demonstration of his approach (and subsequent discussion), the principles we are working on are more clear and make more sense
• What can be done next is clear
• Still questions that need to be answered (how to collaborate over the work, positioning the vision statement to make clear the problem we are helping solve, how the approach to profiling we are taking aligns to that problem-solving, etc.)
• ACTION ITEM: Michael to provide a list of remaining US Core Profiles that have yet to be brought over, and provide these to the workstream so the Community has opportunity to get involved on this profiling work
• ACTION ITEM: Michael to continue to document the feedback provided in the Google Deck for Canadian Core Vision / Scope / Principles

Hi all,

Just a note that there will be a shift in the focus of today's stream meeting, providing more of a focus on some early profiling efforts by Russ Buchanan and next steps going forward; Russ has done some great early work adapting a draft Canadian Core set from the US Core, and we'll look at that and discuss how we can build from there. Tightening up vision, scope, principles is still important and will continue to be reviewed as we go.A big thank-you to everyone who reviewed and provided guidance and feedback on the Vision-Scope-Principles document!

The updated agenda:

1. Review - Recap and Updates since last meeting
2. Review - Walkthrough of Russ' draft set of Canadian Core profiling work
3. Next Steps - immediate action items going forward

Looking forward to connecting at 2pm EST. Here are the zoom meeting details again:

infocentral.infoway-inforoute.ca/en/monthly-calendar/month.calendar/2019/04/09/1268

Hi all,

The draft agenda for the April 12th (2-3pm EST) stream meeting is below:

1. Review - Recap and Updates since last meeting
2. Discussion - Feedback on Vision, Scope, and Guiding Principles
3. Next Steps - decide the immediate action items going forward

Regarding item #2, I will be sending out a separate post to the forum with the link for the working copy of the compiled Vision, Scope, and Principles.

The Zoom meeting and dial-in details can be found in the relevant calendar invite in the events calendar page here: infocentral.infoway-inforoute.ca/en/monthly-calendar/month.calendar/2019/04/09/1268